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New Hampshire rates for HCPCS L6450

Elbow Disarticulation Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.73 / $2,728.73 / $3,274.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.52 / $2,117.42 / $2,728.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,846.18 / $4,846.18 / $5,744.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,260.71 / $2,260.71 / $2,361.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.61 / $2,717.61 / $2,717.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $1,983.86 / $2,799.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,923.74 / $3,923.74 / $12,110.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.81 / $2,417.71 / $2,870.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,629.64 / $3,992.60 / $5,081.50